DRAFT PH Road Safety Implementation Guide
0.2.0 - ci-build
DRAFT PH Road Safety Implementation Guide
0.2.0 - ci-build
DRAFT PH Road Safety Implementation Guide, published by UP Manila - National Institutes of Health - National Telehealth Center. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UPM-NTHC/PH-RoadSafetyIG/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.
| RS Minimum Dataset (MDS) Logical Model |
Abstract, sectioned logical model for the PH RS MDS covering incident, patient, encounter, clinical, vitals, injuries, evidence/documents, workflow, and finance. Elements mirror the CSV rows; mappings point to target FHIR elements for subsequent profiling. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
| RS AllergyIntolerance |
Known allergies, substances and reactions. |
| RS Bundle — EMS Submission |
Document Bundle for EMS Run Report submission. The first entry MUST be a Composition that organizes and references the other resources in the bundle (Patient, Encounter, Location, Observations, DocumentReference, Procedure, ServiceRequest, Task, Claim). |
| RS Bundle — ONEISS Submission |
Document Bundle for Facility ONEISS submission. The first entry MUST be a Composition that organizes and references the other resources in the bundle (Patient, Encounter, Condition, Observations, DocumentReference, Procedure, ServiceRequest). |
| RS Bundle — Post‑Crash Investigation |
Document Bundle for Post‑Crash investigation submission. The first entry MUST be a Composition that organizes and references post‑crash Observations and supporting DocumentReferences. |
| RS Claim |
Claim information related to cost of care. |
| RS Composition — EMS Submission |
Composition that organises an EMS run report. Sections MUST reference the other resources present in the corresponding document Bundle (Patient, Encounter, Location, Observations, DocumentReference, Procedure, ServiceRequest, Task, Claim). |
| RS Composition — ONEISS Submission |
Composition that organises a facility (ONEISS) submission. Sections MUST reference the other resources present in the corresponding document Bundle (Patient, Encounter, Condition, Observations, DocumentReference, Procedure, ServiceRequest). |
| RS Composition — Post‑Crash Investigation |
Composition that organises a Post‑Crash submission. Sections reference Observations and Documents related to post‑crash investigation (collision type, investigator presence, other risk factors, safety accessories, vehicle condition, CCTV, evidence documents). |
| RS Condition |
Condition resource for RS IG that supports multiple coding systems, textual entries and use-case specific semantics (initial impression, final diagnosis, medical history) via code.coding slicing and category usage. |
| RS Condition — External Cause (category) |
Captures the ICD-10 external cause axis as a Condition.category slice. Use in addition to the specific diagnosis code. |
| RS Condition — Final Diagnosis |
Final diagnosis per CSV mapping. |
| RS Condition — Initial Impression |
Enter the initial impression on the patient’s condition. |
| RS Condition — Nature of Injury (category) |
Captures the ICD-10 nature-of-injury axis as a Condition.category slice. Use in addition to the specific diagnosis code. |
| RS Condition — Problem |
Problem (finding) per CSV mapping. |
| RS DocumentReference (Evidence) |
Evidence and post-crash documentation linked to the incident (e.g., cause of crash, party at fault, incident management logs, CCTV, shape files). |
| RS Encounter |
Encounter for EMS run report / facility submission context. Captures incident number, type, timing, participants, disposition & transfer. |
| RS HealthcareService |
Healthcare services offered by organizations (e.g., EMS base, receiving facility clinics/units). |
| RS Incident Location |
Location of incident; supports PH-Core address extensions and geolocation. |
| RS MedicationStatement |
Current medications as codeable concepts or references where available. |
| RS Observation |
Generic base Observation for RS data; specialized concept profiles below constrain code/value patterns. |
| RS Observation - Abrasion |
Abrasion present; with optional site and details. |
| RS Observation - Activity at Time of Incident |
Activity of the patient at time of incident; allow text fallback. |
| RS Observation - Avulsion |
Avulsion present; with optional site and details. |
| RS Observation - Blood Alcohol Concentration |
Blood alcohol concentration. |
| RS Observation - Blood Pressure |
Blood pressure using component entries for systolic/diastolic. |
| RS Observation - Body Temperature |
Body temperature. |
| RS Observation - CCTV Available |
Availability of CCTV video. |
| RS Observation - Call Source |
Call source description (free text). |
| RS Observation - Clinical Remarks |
Clinical remarks/notes. |
| RS Observation - Collision Type |
Collision type (Angle, Head-on, Rear end, Side swipe, etc.). |
| RS Observation - Collision vs Non-Collision |
Indicates whether the incident was collision or non-collision. |
| RS Observation - Concussion |
Concussion present; with site and details. |
| RS Observation - Condition of Patient |
Overall condition of patient at assessment. |
| RS Observation - Contusion |
Contusion present; with site and details. |
| RS Observation - Cyanosis |
Cyanosis assessment. |
| RS Observation - Date/Time of Injury |
DateTimestamp patient was seen at the health facility. |
| RS Observation - External Cause: Bites/Stings |
Flag indicating bites/stings. |
| RS Observation - External Cause: Burns |
Flag indicating burns as external cause. |
| RS Observation - External Cause: Burns |
Flag indicating burns as external cause. |
| RS Observation - External Cause: Chemical/Substance |
Observation for chemical/substance exposure. |
| RS Observation - External Cause: Contact with Sharp Object |
Flag indicating sharp object cause. |
| RS Observation - External Cause: Drowning |
Flag indicating drowning. |
| RS Observation - External Cause: Exposure to Forces of Nature |
Flag indicating exposure to natural disaster/calamity. |
| RS Observation - External Cause: Fall |
Flag indicating fall. |
| RS Observation - External Cause: Firecracker |
Flag indicating firecracker-related cause. |
| RS Observation - External Cause: Gunshot |
Flag indicating gunshot. |
| RS Observation - External Cause: Hanging/Strangulation |
Flag indicating hanging/strangulation. |
| RS Observation - External Cause: Mauling/Assault |
Flag indicating assault. |
| RS Observation - External Cause: Other |
Flag indicating other external cause. |
| RS Observation - External Cause: Sexual Assault/Abuse/Rape (Alleged) |
Flag indicating sexual assault. |
| RS Observation - Fracture |
Fracture observation. Use valueCodeableConcept to indicate fracture type (e.g., open or closed). Sites captured in top-level bodySite and details in note. |
| RS Observation - Glasgow Coma Scale |
GCS with components for eyes, verbal, motor; optional total score as integer. |
| RS Observation - How Many Vehicles Involved |
Count of vehicles involved. |
| RS Observation - Injury Intent |
Intent of injury (Unintentional, Intentional-self, Intentional-violence, Undetermined). |
| RS Observation - Level of Consciousness (AVPU) |
Level of consciousness (e.g., AVPU). |
| RS Observation - Mode of Transport to Facility |
Mode of transport to the hospital/facility; allow coded value with optional text for 'Others'. |
| RS Observation - Multiple Injuries? |
Boolean flag indicating multiple injuries. |
| RS Observation - Open Wound |
Open wound present; with site and details. Capture mechanism/type in a structured component (valueCodeableConcept with text). |
| RS Observation - Other Risk Factors |
Other risk factors at the time of incident; allow text for 'Others'. |
| RS Observation - Other Specified Injury |
Other specified injury present; capture type as valueCodeableConcept (text allowed) with optional site and details. |
| RS Observation - Other Vehicle/Object Involved |
Other vehicle/object type involved; text for 'Others'. |
| RS Observation - Outcome at Release |
Outcome at release from ER/OPD/RHU. |
| RS Observation - Patient's Vehicle |
Type of vehicle used by patient; text for 'Others'. |
| RS Observation - Place of Occurrence |
Place type where injury occurred; name can be carried in note when applicable. |
| RS Observation - Position of Patient |
Seat/position (driver/front passenger/rear/pedestrian); text for 'Others'. |
| RS Observation - Presence of Traffic Investigator |
Boolean presence/absence of traffic investigator. |
| RS Observation - Priority Level (Urgency) |
System-generated urgency level per CAD/agency rules. |
| RS Observation - Pulse Rate |
Pulse/heart rate in beats/min. |
| RS Observation - Pupils |
Pupil size/reactivity summary. |
| RS Observation - Referred By Facility |
Flag indicating patient was referred by another hospital/facility. |
| RS Observation - Reported Complaint |
Free-text reported complaint. May or May not exactly be medical, could point to car crash, not a healthcare concern. |
| RS Observation - Respiratory Rate |
Respiratory rate in breaths/min. |
| RS Observation - Run Report Comments |
Enter other comment (s) regarding the case |
| RS Observation - Safety Accessories |
Safety accessories present/used; allow text for 'Others'. |
| RS Observation - Status on Arrival |
Status upon reaching facility/hospital. |
| RS Observation - Timeline Date/Time |
Dispatch and transport timeline events capturing a precise date/time. |
| RS Observation - Transferred From Facility |
Flag indicating patient transferred from another hospital/facility. |
| RS Observation - Transport/Vehicular Accident |
Boolean flag indicating transport/vehicular accident. |
| RS Observation - Traumatic Amputation |
Traumatic amputation present; with site and details. |
| RS Observation - Triage Priority |
Triage category assigned at scene (e.g., Red/Yellow/Green/Black). |
| RS Organization |
Organization profile for EMS providers and receiving facilities involved in RS encounters. |
| RS Patient |
Patient demographics and identifiers for RS reporting; reuse PH-Core address extensions for barangay/city/province/region. |
| RS Procedure |
Procedures related to incident/report (e.g., coordination with receiving hospital, psychosocial support, interventions). |
| RS Procedure - Transport Coordination |
Procedure record indicating whether transport coordination with the receiving hospital was done. |
| RS Service Location |
Facility/service delivery location. Type bound to HL7 v3 ServiceDeliveryLocationRoleType (e.g., ER, ward, clinic). |
| RS ServiceRequest |
Requests or records related to refusal to admit and related workflow signals. |
| RS Task |
Workflow tracking for report receipt, durations of delay, and sources of delays. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| RS Encounter Vehicle Used |
Identifier and type of transport vehicle used during an encounter. |
These define sets of codes used by systems conforming to this implementation guide.
| RS VS - PSGC Barangay |
PSGC Barangay codes (managed externally). |
| RS VS - PSGC City/Municipality |
PSGC City/Municipality codes (managed externally). |
| RS VS - PSGC Province |
PSGC Province codes (managed externally). |
| RS VS - PSGC Region |
PSGC Region codes (managed externally). |
| SILPH - Activity (VS) |
SILPH Value Set for Patient Activity at the Time of Injury/Accident |
| SILPH - Burns (VS) |
SILPH Value Set for Degree of Burn |
| SILPH - Cyanosis (VS) |
SILPH Value Set for Presence of Cyanosis |
| SILPH - Element Terminology (VS) |
SILPH Value Set for Element Terminology |
| SILPH - Encounter Participant Role (VS) |
SILPH Value Set for EMS encounter participant roles documented on the run report. |
| SILPH - External Cause of Burns (VS) |
SILPH Value Set for External Cause of Burns |
| SILPH - External Cause of Drowning (VS) |
SILPH Value Set for External Cause of Drowning |
| SILPH - Fracture Type (VS) |
SILPH Value Set for fracture type designation (open versus closed) |
| SILPH - GCS - Eyes (VS) |
SILPH Value Set for GCS Eye Score |
| SILPH - GCS - Motor (VS) |
SILPH Value Set for GCS Motor Score |
| SILPH - GCS - Verbal (VS) |
SILPH Value Set for GCS Verbal Score |
| SILPH - General Disposition (VS) |
SILPH Value Set for Inpatient and ER/Outpatient Visit Disposition |
| SILPH - ICD10 External Cause of Injury (VS) |
SILPH Value Set for ICD 10 Codes for External Cause of Injury (Selected Codes from Chapter XX - V01-Y36, Y85-Y87, and Y89) |
| SILPH - ICD10 Nature of Injury (VS) |
SILPH Value Set for ICD 10 Codes for Nature of Injury (Chapter XIX - S00-T98) |
| SILPH - Injury Intent (VS) |
SILPH Value Set for Injury Intent |
| SILPH - Inpatient Disposition (VS) |
SILPH Value Set for Inpatient Visit Disposition |
| SILPH - Level of Consciousness (VS) |
SILPH Value Set for Level of Consciousness (AVPU) Score |
| SILPH - List of Body Sites (VS) |
SILPH List of Body Sites |
| SILPH - Local Codes (VS) |
SILPH Value Set for containing all Road Safety Local Codes (data element terminology codes and codes for value sets) |
| SILPH - Mode of Transport (VS) |
SILPH Value Set for Mode of Transport of Patient to Healthcare Facility |
| SILPH - Other Vehicle in Collision (VS) |
SILPH Value Set for Other Vehicle in Collision Accident |
| SILPH - Outcome (VS) |
SILPH Value Set for Outcome |
| SILPH - Outpatient/ER Disposition (VS) |
SILPH Value Set for Outpatient/ER Visit Disposition |
| SILPH - PR - Quality (VS) |
SILPH Value Set for Pulse Quality |
| SILPH - PR - Rhythm (VS) |
SILPH Value Set for Pulse Rhythm |
| SILPH - Patient's Vehicle (VS) |
SILPH Value Set for Patient's Vehicle |
| SILPH - Place of Occurrence (VS) |
SILPH Value Set for Place of Occurrence of Injury/Accident |
| SILPH - Position of Patient (VS) |
SILPH Value Set for Position of Patient |
| SILPH - Pupils (VS) |
SILPH Value Set for Pupil Reaction |
| SILPH - RR - Breath Sounds (VS) |
SILPH Value Set for Breath Sounds |
| SILPH - RR - Rhythm (VS) |
SILPH Value Set for Respiratory Rhythm |
| SILPH - Risk Factors (VS) |
SILPH Value Set for Risk Factors |
| SILPH - Safety Devices (VS) |
SILPH Value Set for Safety Devices |
| SILPH - Sex (VS) |
SILPH Value Set for Sex |
| SILPH - Status (VS) |
SILPH ValueSet for Patient Status, if Alive or Dead during Admission |
| SILPH - Status if Alive (VS) |
SILPH Value Set for Patient Status, if patient is alive, specify if conscious or unconscious |
| SILPH - Transport Accident Type (VS) |
SILPH Value Set for Transport Accident Type (Land, Water or Air) |
| SILPH - Transport Accident: Collision or Noncollision (VS) |
SILPH Value Set for Transport Accident if Collision or Noncollision |
| SILPH - Triage (VS) |
SILPH Value Set for Triage at Scene |
| SILPH - Type of Patient (VS) |
SILPH Value Set for Type of Patient Encounter |
These define new code systems used by systems conforming to this implementation guide.
| SILPH Road Safety Local Codes |
Compilation of local codes for SILPH Road Safety Project. Includes local codes for data element terminology mapping and local codes for value sets |
These define transformations to convert between codes by systems conforming with this implementation guide.
| MDSRoadSafety Logical Model to FHIR Mapping |
Maps elements from the logical model to FHIR R4 resources. Generated by scripts/generate-conceptmap.js |